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1720415169 NPI number — LAURA KNOLL MYERS M.S.

NPI Number: 1720415169
Health Care Provider/Practitioner: LAURA KNOLL MYERS M.S.

Information about “1720415169” NPI (LAURA KNOLL MYERS M.S.) exists in 1720415169 in HTML format HTML  |  1720415169 in plain Text format TXT  |  1720415169 in PDF (Portable Document Format) PDF  |  1720415169 in an XML format XML  formats.

NPI Number : 1720415169 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1720415169",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MYERS",
    "FirstName": "LAURA",
    "MiddleName": "KNOLL",
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "M.S.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "KNOLL",
    "OtherFirstName": "LAURA",
    "OtherMiddleName": "LOUISE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "M.S.",
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "2305 CALLE LAUREL APT 409",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN JUAN",
    "MailingAddressStateName": "PR",
    "MailingAddressPostalCode": "00913-4606",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "619-933-6940",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2001 S BARRINGTON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS ANGELES",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90025-5363",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "586-335-2872",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/30/2013",
    "LastUpdateDate": "08/05/2019",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "76723",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "89833",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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